Behavioral assessment and treatment of acquired visuoperceptual disorders

Visuoperceptual deficits are common sequelae of damage to either hemisphere of the brain, but are typically more pronounced following injuries involving the right cerebral hemisphere. Common visuoperceptual disorders include visual field cuts, hemi-inattention and hemi-spatial neglect, hemi-perceptual deficits, and gaze and visual pursuit disturbances. A number of behavioral interventions have been developed to teach patients to compensate for acquired visual deficits. Studies addressing assessment and treatment issues in this area are reviewed, and future directions for research are outlined.     

Differentiated additive androgyny model: relations between masculinity, femininity, and multiple dimensions of self-concept.

Masculinity (M) and femininity (F) were related to multiple dimensions of self-concept in 2 large studies. Androgyny theory predicts that M and F contribute positively to self-concept, but the effect of F has been nil in research using global self measures. Here, consistent with the new differentiated additive model, the relative contribution of M and F varied substantially, depending on the area of self-concept; F contributed more positively to self-concept facets that were more stereotypically feminine. Support for the model was consistent across self-responses and responses by significant others (Study 1) and across 5 age groups in early-to-middle adolescence (Study 2).     

Strategy changes in human contingency judgments as a function of contingency tables.

Judgment strategies of 169 undergraduate students on problems to judge the contingency between two binary events were identified by the method of rule-based analysis to clarify whether or not the strategies the subjects used would be affected by the concrete nature of the contingency table. Problems were constructed along two factors: total cell frequency and width of range of objective contingencies. Although the factor of total cell frequency had no effect on subjects' strategies, the number of subjects who changed strategies corresponding with problem instances increased when the objective contingencies were set closer to zero or when problems became more difficult. These results are discussed in the context of previous studies of this issue in the literature.     

Acute back pain: a psychological analysis.

A cross-sectional evaluation of 117 people who sustained acute back injuries was undertaken within 15 days of the first report of the pain. The subjects showed no discal or neural signs and had not experienced previous episodes of back or neck pain. All subjects were given a structured interview and filled in a series of psychological evaluation instruments. Results show acute pain reactions to be comparable to those seen in chronic pain groups. The predominant emotion is one of frustration rather than anxiety or depression and considerable behavioural disruption is evident from this early point. The extent to which these data undermine the model of gradual evolution of chronic back pain problems is discussed.     

On methods of reporting clinical material.

The members of the Committee on Scientific Activities of the American Psychoanalytic Association are concerned about the paucity of clinical data in psychoanalytic reports and by the quality of what does exist. We have proposed a few standards for clinical reports that we believe will be reliable and clear and will have enduring usefulness. We recognize the need for maintaining confidentiality and, at times, for disguise; we also recognize the need to balance these requirements against the dangers of misleading the reader (or listener). These conflicting requirements have resulted in our concentrating on some general principles for clinical reporting. We have appended a tentative form, and examples, to be considered for that purpose.     

Object loss and psychotic regression

The author explores the structures and dynamics of a case of acute schizophrenic decompensation, which is shown to be a pathological grief reaction. How the patient comes to terms with the loss of the object can be traced through the various stages of the illness. The nature and fundamental disturbance of object relations becomes especially clear. The psychotic regression serves to deny the loss and simultaneously constitutes repeated attempts--and their failures--to introject a good object and thereby achieve a belated primary identification. The latter would be a basic precondition for the capacity to mourn a loss adequately.     

Insides and essences: early understandings of the non-obvious

Insides and essences are both critical concepts for appreciating the importance of non-obvious entities: neither are observable, both contrast with external appearances, and both can be more important than external appearances. The present research examined understandings of insides and essences in 3- to 5-year-old children. In Study 1, children were asked questions requiring them to think about both the insides and the outer appearances of a series of objects. In Study 2, children were tested on their understanding that insides are typically more important than outer surfaces for an object's identity and functioning. In Studies 3, 4, and 5, children were tested on their understanding of innate potential, a concept that reflects understanding of an inborn essence. Contrary to the traditional view of children as externalists (cf. Piaget, 1951), these studies demonstrate that by age 4 children have a firm grasp of the importance of both insides and essences. Even by age 3 children reason clearly about the inside-outside distinction. These results suggest that preschool children attend to non-obvious features and realize their privileged status. They may also indicate a more basic predisposition toward psychological essentialism in young children.